| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
935 |
884 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
102 |
102 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
94 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
80 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
47 |
$4K |
| 92567 |
|
265 |
264 |
$3K |
| 90651 |
|
48 |
47 |
$863.78 |
| 90734 |
|
27 |
26 |
$622.52 |
| 90633 |
|
42 |
42 |
$513.31 |
| 99173 |
|
273 |
273 |
$484.33 |
| 90710 |
|
25 |
25 |
$447.85 |
| 90670 |
|
30 |
30 |
$417.85 |
| 96161 |
|
100 |
98 |
$386.20 |
| 90698 |
|
28 |
28 |
$312.40 |